Organization Active NPI

Dermatology Esthetica

  • Prevention Professional
  • Clearwater, FL
National Provider Identifier
1750826301
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
ME54484 Issued in FL
Legal business name
DERMATOLOGY ESTHETICA
Practice address
718B Lakeview Rd
Clearwater, FL 33756-3439
Phone
(727) 447-1229
Fax
(727) 446-0680
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Phyllis K Murphy, M.D.NPI 1508954066
Title
Physician
Phone
(727) 447-1229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X ME54484 FL Primary

Addresses

Primary practice location

718B Lakeview Rd
Clearwater, FL 33756-3439

Mailing address

718B Lakeview Rd
Clearwater, FL 33756-3439
Phone (727) 447-1229

National Provider Directory

National Provider Directory

Locations

718B Lakeview Rd
Clearwater, FL 33756
Phone (727) 447-1229

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1750826301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718B LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563439",
            "telephone_number": "727-447-1229",
            "fax_number": "727-446-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718B LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563439",
            "telephone_number": "727-447-1229",
            "fax_number": "727-446-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ESTHETICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-447-1229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": "ME54484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.